Romero Martín, Saez José Miguel
Cleft Palate Craniofac J. 2014 Sep;51(5):497-500. doi: 10.1597/13-138. Epub 2013 Oct 3.
To present the state of knowledge and surgical practice concerning cleft lip and palate leading to the modern era.
Bibliographical review.
Analysis of the scientific medical, surgical, and odontological literature from the 16th to 18th centuries.
Texts and art confirm the existence of cleft lip and palate from antiquity in all cultures; however, the first certain references in Western scientific literature did not appear until the works of Celsus (ca. 25 BC to AD 50) and Galen (AD 129 to 200). Indications for cleft lip surgery appear in the Middle Ages with Albucasis (936 to 1013) and Yperman (1260 to 1332). From the Renaissance period onward, and with the invention of the printing press, numerous authors described their own surgical methods.
Given the limitations imposed by pain and infection, the authors of the Modern Age focus on correcting the functional and esthetic defect of the lip with techniques that do not differ greatly from those described in the Middle Ages. The treatment for cleft palate was limited to the creation of "obturators" and surgery for cleft palate was not possible until the 19th century.
介绍直至现代有关唇腭裂的知识和外科手术实践状况。
文献综述。
分析16至18世纪的科学医学、外科和牙科学文献。
文字记载和艺术作品证实，自古以来所有文化中都存在唇腭裂；然而，西方科学文献中最早的确切记载直到塞尔苏斯（约公元前25年至公元50年）和盖伦（公元129年至200年）的著作中才出现。唇裂手术的指征在中世纪阿尔布卡西斯（936年至1013年）和伊珀曼（1260年至1332年）的著作中出现。从文艺复兴时期起，随着印刷术的发明，众多作者描述了他们自己的手术方法。
鉴于疼痛和感染带来的限制，现代的作者们专注于用与中世纪所描述的方法相差不大的技术来矫正唇部的功能和美观缺陷。腭裂的治疗仅限于制作“阻塞器”，直到19世纪才有可能进行腭裂手术。
